Organization
EARLY INTERVENTION ACADEMY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY QUESENBERRY (OWNER)
(813) 531-2219
Entity
Organization
Contact information
Practice address
8726 SANDY PLAINS DR, RIVERVIEW, FL 33578-8615
(813) 531-2219
Mailing address
8726 SANDY PLAINS DR, RIVERVIEW, FL 33578-8615
(813) 531-2219
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/02/2018
Last updated
05/10/2021
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